Journal Club Tool

Charge

Five L’s

Objectives

Using the journal club in assessing practice based learning

Goals

American J Ophthalmology website links

Examples

Introduction example

Literature review example

Results example

Similar type wording for other sections in an article

Resident survey

PBL goals

Scoring rubric

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Pre and post test scores (n=13)

Best tools for smaller (& larger) specialties

Journal club as model “start up”

Linkage = leverage

Portfolio example

Problems encountered

Advantages

Summary

Summary

On deck….Systems-based practice:
Know how

A systems story….

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Three mile island (TMI)

What happened

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Control room systems based flaws

Challenger disaster

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Reason’s Swiss cheese

What systems do you need to know about?

Case report

Case report

Neuro-ophthalmology exam

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Sent to MRI

Radiology has the MR film

Systems based failure

IPR

The “incomplete” non contrast T1 MRI…. *filed away in radiology

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A happy (lucky) ending

System failures (“the holes”)

Near miss grand rounds

Aviation safety model

Chain of errors
Woolf et al. Ann Fam Med 2:317-326:2004

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Precursor events

Another case

Discussion questions

Course

58 missed lung CA on CXR

OMIC recommendations

Reason’s “swiss cheese” model

Near miss grand rounds

Near Miss Project
Risk Management & Decision Processes Center
Wharton School (University of Pennsylvania)

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Near miss rounds

Systems based care

Geriatrics care in ophthalmology

Wake up call during anesthesia

Wrong site surgery

Transfusion reactions

Institute of Medicine (IOM)

What systems do you need to know about?